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Alain Broulard

NPI 1134691215 · on the registry since 2018 · sole proprietor

Practice

Address
1122 Garfield Ave
Venice, CA 90291
Phone
(818) 384-0927

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California